the first year. and roughly four in ten physicians say they're still weighing their options. >> the majority of doctors are in the middle. most doctors are very happy that uninsured people will be insured care. from this standpoint more doctors are on board. the difficulties-- >> those difficulties boil down to money. 30% of doctors who were notified of new reimbursement rates on the exchanges said that those payments would be lower than medicare. lower payments to positions is one way of making the new plans affordable. many of the new plans also carry higher out of pocket costs which can read extra hurdles trying to correct and that could leave insurance companies on the hook for the costs. >> many are not going to be advise us of what the deductible is ahead of time so the doctor cannot collect the deductible until deductible inadvance. he has to built patient and then hope the patient it ca can pay it. >> that may not happen in the healthcare costs are already putting pressure on their bottom lin